Friday, February 27, 2015

Study group discussion: Lemierre's syndrome

What can you folks tell me about lemierre's syndrome?

Caused by fusobacterium necrophilus.. Initial presentation is like Streptococcus pharyngitis but ASLO negative.

And rapidly transforms into complication - Intravascular clots, etc.
Metronidazole and high dose penicillin used for treatment. Not very common, I think.


Clots in the internal jugular vein.. is fibrynolitic therapy indicated?


It seems that the clot dissolves itself when the infection heals, so only antibiotic therapy is indicated.


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